Individual
ROBERT GLENN AZZARITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5550 RYAN LN, CARMICHAEL, CA 95608-3037
(540) 207-1037
Mailing address
5550 RYAN LN, CARMICHAEL, CA 95608-3037
(540) 207-1037
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4592
TX
101YP2500X
Professional Counselor
—
TX
Other
Enumeration date
07/28/2021
Last updated
07/17/2024
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